CRYSTAL D CUNNINGHAM
Controlled Substance Registration for Practitioner


Address: 89 Swanson Dr, Bristol, CT 06010-3153

CRYSTAL D CUNNINGHAM (Credential# 1676747) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 18, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

CRYSTAL D CUNNINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071984. The credential type is controlled substance registration for practitioner. The effective date is July 18, 2019. The expiration date is February 28, 2021. The business address is 89 Swanson Dr, Bristol, CT 06010-3153. The current status is active.

Basic Information

Licensee Name CRYSTAL D CUNNINGHAM
Credential ID 1676747
Credential Number CSP.0071984
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 89 Swanson Dr
Bristol
CT 06010-3153
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-18
Effective Date 2019-07-18
Expiration Date 2021-02-28
Refresh Date 2019-07-22

Other licenses

ID Credential Code Credential Type Issue Term Status
581517 10.077515 Registered Nurse 2006-01-11 2019-10-01 - 2020-09-30 ACTIVE
1663852 12.008238 Advanced Practice Registered Nurse 2019-06-17 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 89 SWANSON DR
City BRISTOL
State CT
Zip Code 06010-3153

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Competitor

Search similar business entities

City BRISTOL
Zip Code 06010
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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